Individual
RYAN D ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 543-7271
(406) 327-1834
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12724
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500607872
—
OR
Enumeration date
05/09/2008
Last updated
04/09/2021
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